PMID- 36004273 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220826 IS - 2666-2736 (Electronic) IS - 2666-2736 (Linking) VI - 10 DP - 2022 Jun TI - Primary pulmonary synovial sarcoma. PG - 404-414 LID - 10.1016/j.xjon.2022.02.014 [doi] AB - OBJECTIVE: Primary pulmonary synovial sarcoma (PPSS) is extremely rare. This study aims to identify the clinicopathologic and therapeutic factors determining survival in PPSS. METHODS: We performed a retrospective analysis of 121 patients from the Surveillance, Epidemiology, and End Results Database as well as 12 patients from our own institution diagnosed with PPSS. Patient survival was evaluated using the Kaplan-Meier method. RESULTS: The median survival time for 12 PPSS patients in our institution was 78 months. Postoperative chemotherapy (P = .027 for overall survival and P = .035 for disease-specific survival) was associated with superior survival, whereas pneumonectomy (P = .011 for overall survival and P = .006 for disease-specific survival) was associated with worse survival. Single lobe involvement (P = .022) and the absence of lymph node involvement (P = .045) were associated with improved disease-specific survival and overall survival, respectively. In the Surveillance, Epidemiology, and End Results Database, the median survival time was 23 months. Significantly superior survival was observed in patients with earlier American Joint Committee on Cancer stage (Ⅰ-Ⅱ) (P < .001 for both overall survival and disease-specific survival). Patients who were diagnosed within the recent decade did not achieve a better survival (P = .599 for overall survival and P = .596 for disease-specific survival). CONCLUSIONS: PPSS was aggressive with a very poor prognosis. The seventh American Joint Committee on Cancer stage might aid in predicting survival. Pneumonectomy and lymph node involvement might be associated with worse survival, whereas single lobe involvement and postoperative chemotherapy might be associated with improved survival. CI - (c) 2022 The Author(s). FAU - Wang, Weixi AU - Wang W AD - Department of Geriatrics, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Guo, Junhong AU - Guo J AD - Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Bao, Minwei AU - Bao M AD - Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Liu, Xiaogang AU - Liu X AD - Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Wang, Hao AU - Wang H AD - Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Ye, Cong AU - Ye C AD - Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China. LA - eng PT - Journal Article DEP - 20220224 PL - Netherlands TA - JTCVS Open JT - JTCVS open JID - 101768541 PMC - PMC9390693 OTO - NOTNLM OT - AJCC, American Joint Committee on Cancer OT - DSS, disease-specific survival OT - LN, lymph node OT - OS, overall survival OT - PPSS, primary pulmonary synovial sarcoma OT - SEER database OT - SEER, Surveillance, Epidemiology, and End Results OT - SS, synovial sarcoma OT - STS, soft tissue sarcoma OT - outcomes OT - primary pulmonary synovial sarcoma OT - single center study EDAT- 2022/08/26 06:00 MHDA- 2022/08/26 06:01 PMCR- 2022/02/24 CRDT- 2022/08/25 02:32 PHST- 2021/01/26 00:00 [received] PHST- 2022/02/16 00:00 [accepted] PHST- 2022/08/25 02:32 [entrez] PHST- 2022/08/26 06:00 [pubmed] PHST- 2022/08/26 06:01 [medline] PHST- 2022/02/24 00:00 [pmc-release] AID - S2666-2736(22)00068-7 [pii] AID - 10.1016/j.xjon.2022.02.014 [doi] PST - epublish SO - JTCVS Open. 2022 Feb 24;10:404-414. doi: 10.1016/j.xjon.2022.02.014. eCollection 2022 Jun.